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Page 1: Communities Preventing Childhood Obesity Priester 2013
Page 2: Communities Preventing Childhood Obesity Priester 2013

The Communities Preventing Childhood Obesity project Multi-state

IN, KS, MI, ND, OH, SD, WI

Multi-disciplinary team Nutrition Physical activity Community development Family and youth development

Funded by USDA Agriculture and Food Initiative (AFRI) Grant

GOAL: Start a community

development intervention to

prevent childhood obesity.

Page 3: Communities Preventing Childhood Obesity Priester 2013

Innovative Aspects

7 states collaborating

Community capacity development approach

Ecological Model of Childhood OverweightRural communitiesLow-income familiesPreschool-aged children

Page 4: Communities Preventing Childhood Obesity Priester 2013

Ecological Model of Childhood Overweight

Weight Status

Ethnicity

School lunch progra

m

Work deman

ds

Neighborhood safety

Socioeconomic status

School PE

programs

Accessibility of recreational facilities, convenience foods, and restaurants

Foods availabl

e in home

Nutritional

knowledge

Parent’s dietary intake

Encouragement of

activity

Parent’s activity patterns

Monitoring TV hours

Parent’s weight statusDietary

intake

Sedentary behaviors

Physical

activity

Page 5: Communities Preventing Childhood Obesity Priester 2013

Growing evidence shows that obesity is driven by the environment. (Schwartz & Brownell, 2005)

Community Development Approach

For people to make behavior changes that support healthy lifestyles, they must exist in an environment where the healthy choice is the easy choice.

Environmental changes can improve the health of the whole community, not just individuals.

Page 6: Communities Preventing Childhood Obesity Priester 2013

Making an ImpactHow can

Extension help a community

impact the environment?

How can a community create

an environment where the healthy choice is the easy

choice?

Page 7: Communities Preventing Childhood Obesity Priester 2013

Community coalitions consist of public- and private-sector organizations that, together with individual citizens, work to achieve a shared goal through the coordinated use of resources, leadership, and action. (IOM, 2005)

Role of a Coalition

Coalitions:The vehicle for

successful change at the

community level!

Engage residents

in the cause

Create a sense of

community

Page 8: Communities Preventing Childhood Obesity Priester 2013

Success of a Coalition

Relies on

capacity-building

ability of the

coalition

Page 9: Communities Preventing Childhood Obesity Priester 2013

Barriers to Coalition Success

Lack common vision

Lack formalization

Lack clearly defined roles

Failure to reevaluate

Failure to act

Failure to commit

Page 10: Communities Preventing Childhood Obesity Priester 2013

COMMUNITY COACHING

An effective approach to support

community development for

sustained community change initiatives

Page 11: Communities Preventing Childhood Obesity Priester 2013

What is Community Coaching?

“A Community Coach is a guide who supports communities and organizations in identifying and achieving their goals.”

(Emery, Hubbell, & Miles-Polka, 2011)

Works as a process coach with a group or coalition Ensures efforts follow community

development principles of good practice

Page 12: Communities Preventing Childhood Obesity Priester 2013

Coaching Effective Community Development

The process of helping citizen

groups organize and act to address

shared concerns.

A process that aims to support citizens in their

efforts to “build solidarity and agency through self-

help, felt needs, and participation”

(Bhattacharyya, 2004, p. 5)

Community development

Brandy Buro
Maybe paraphrase qoute and combine both definitions?
Page 13: Communities Preventing Childhood Obesity Priester 2013

Planned Approaches to Community Intervention

Robinson &Green (2011)

Page 14: Communities Preventing Childhood Obesity Priester 2013

At the Heart of CoachingProcess to identify:

Current situation

Direction and desired

outcome

Alternatives and implications

Choice making

Action planning and

implementation

Reflection, modification and

new goal setting

Page 15: Communities Preventing Childhood Obesity Priester 2013

Community Coaching for sustained change initiatives

Prepare coalition and community

Develop effective working Relationships

Coach for Action

Help the team think community-wide

Guide the coalition to review, revise, and respond

Consider sustainable structure/ownership

Readiness

Relationships

Results

Reach

Reflection

Resiliency

Page 16: Communities Preventing Childhood Obesity Priester 2013

Methods

14 communities

○ 2 in each state

(1 intervention, 1 control)

Comparable in size and

demographics

○ Rural community

○ Exhibit community

readiness

○ Has an existing community

coalition

All communities:

○ Child Ecological Model

Assessment

○ Receive menu of evidence-

based interventions

○ Implement 1 physical activity

and 1 nutrition intervention

○ Receive $5000/year for 4

years

Intervention communities:

○ Hire a Community Coach

○ Receive Community Coach

training

Page 17: Communities Preventing Childhood Obesity Priester 2013

Measuring Impact

Child Ecological Model Assessment toolkit:Community Healthy Living Index assessments

○ Community-at-Large

○ Neighborhood

○ Early Childhood Program

Active Where? Parent Survey

Coalition Self-Assessment

Page 18: Communities Preventing Childhood Obesity Priester 2013

Community Healthy Living Index

Pre-test / Post-test

Does not include

anthropometric data

Assesses

“Community and

Demographic” ringIdentifies community-

wide factors where

improvements can be

made

Assessments:Community-at-Large

Neighborhood

Early Childhood Program

http://www.ymca.net/chli-about/

Page 19: Communities Preventing Childhood Obesity Priester 2013

Active Where? Parent Survey

Pre-test / Post-test

Assesses “Community and Demographic”

and “Parenting / Family Characteristics” ringsConsiders home, neighborhood, park, and school

environments related to physical activity and

eating

Low-income parents of preschool-aged

children

http://www.activelivingresearch.org/node/11951

Page 20: Communities Preventing Childhood Obesity Priester 2013

Coalition Self-Assessment

Annually

Identify strengths and weaknesses

Determine if available resources are sufficient

Determine stage of readiness related to

purpose and goals of coalition

http://asthma.umich.edu/media/eval_autogen/CSAS.pdf

Page 21: Communities Preventing Childhood Obesity Priester 2013

Overview

Toolkit

Menus of evidence-based curricula and strategiesNutrition menu

Physical activity menu

Organized by the Ecological Model of Childhood

Overweight

Updated frequently

Online access

Page 22: Communities Preventing Childhood Obesity Priester 2013

Example resourcesToolkit

Leadership For Healthy Communities: Action Strategies Toolkit Leadership strategies and programming tools to create healthy

communities for children

Nutrition and Physical Activity Environments in Licensed Child CarePolicy strategies to promote healthy eating and increase

physical activity in child care facilities

HAPPE: Toddlers in Physical Play Motivates and engages toddlers in physical play and builds

basic motor skills that are the foundation for lifetime activity

Page 23: Communities Preventing Childhood Obesity Priester 2013

Final year

Post assessments completed Intervention communities:

Develop sustainability plan to continue project Control communities:

Receive training in community coaching

Year 1: Community assessment

Year 3/4: Implement

interventions

Year 4:• Post

assessments• Continue

community development

Page 24: Communities Preventing Childhood Obesity Priester 2013

How is Extension helping impact your environment?

Weight Status

Ethnicity

School lunch progra

m

Work deman

ds

Neighborhood safety

Socioeconomic status

School PE

programs

Accessibility of recreational facilities, convenience foods, and restaurants

Foods availabl

e in home

Nutritional

knowledge

Parent’s dietary intake

Encouragement of

activity

Parent’s activity patterns

Monitoring TV hours

Parent’s weight statusDietary

intake

Sedentary behaviors

Physical

activity

Page 25: Communities Preventing Childhood Obesity Priester 2013

References Bhattacharyya, J. (2004). Theorizing community development. Community Development , 34(2), 5-34.

Butterfoss, F. D., Goodman, R. M., & Wandersman, A. (1993). Community coalitions for prevention and health

promotion. Health Education Research, 8(3), 315-330.

Emery, M., Hubbell, K., & Miles-Polka, B. (2011). A Field Guide to Community Coaching.

Hargrove, R. (2008). Masterful coaching. Pfeiffer.

Luloff, A. E., & Bridger, J. (2003). Community agency and local development. In D. Brown and L. Swanson

(eds), Challenges for rural America in the Twenty-first century, University Park, PA: Pennsylvania State

University Press.

Luloff, A.E., & Swanson, L.A. (1995). Community agency and disaffection: Enhancing collective resources. In L.

Beaulieu and D. Mulkey (Eds.), Investing in people: The human capital needs of rural America, Boulder, CO:

Westview Press.

Institute of Medicine. (2005)

Schwartz, M. B., & Brownell, K. (2005). The need for courageous action to prevent obesity. In D. Crawford, R. W.

Jeffrey (Eds.), Obesity prevention and public health (pp. 307-330). New York, NY: Oxford University Press.

Schwarz, R., Davidson, A., Carlson, P., & McKinney, S. (2005). The skilled facilitator fieldbook: Tips, tools, and

tested methods for consultants, facilitators, managers, trainers, and coaches. Jossey-Bass.

Swanson, L. (2001). Rural policy and direct local participation: Democracy, inclusiveness, collective agency, and

locality-based policy. Rural Sociology, 66, 1-21.

Wilkinson, K. P. (1991). The community in rural America (No. 95). Praeger Pub Text.

Wolff, Tom. (1994). Coalition building tip sheets. Amherst, MA: AHEC/Community Partners.